OMOLARA OSHODI (NPI# 1437606498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437606498 |
| Entity Type | Individual |
| Full Name | OMOLARA OSHODI |
| Credential | B.A |
| Practice Address |
44 Diauto Dr Randolph MA 02368-4536 |
| Practice Telephone | 7818857252 |
| Practice Fax Number | 7818857256 |
| Mailing Telephone | 7818857252 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
44 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811210594 | Lamour By Design, Inc | Community/Behavioral Health | 44 Diauto Dr, Randolph, MA 02368-4536 | 2010-03-09 |
| 1740880996 | Robert A Grigore | Behavioral Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-27 |
| 1144827882 | Thalia Roman | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-06 |
| 1073110128 | Chie Mitsui | Counselor | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-01 |
| 1104432392 | Jolie Vilmeli Medrano | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-09-22 |
| 1518577071 | Anna Rebecca Rose Kancharla | Social Worker | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-08-08 |
| 1023636123 | Emily Tieu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-07-06 |
| 1538780309 | Jerilynn Mejia | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-05-02 |
| 1619500329 | Regine Beris | Behavior Technician | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-02-20 |
| 1871124602 | Hasna Kazi | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437173176 | Eric Scott Herschman | Psychologist | 2 W Hanover Ave, Suite 203, Randolph, NJ 07869-4222 | 2006-07-26 |
| 1598911679 | Leslie Kjosa Sutro | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575786 | Eavan Miles-mason, Phd, LLC | Psychologist | 319 Peakham Rd, Sudbury, MA 01776-2757 | 2020-07-14 |
| 1184247132 | Lauren R Blakely | Psychologist | 96 Fairbanks Ave, Wellesley, MA 02481-5256 | 2020-05-26 |
| 1881220986 | Katharine Dunson Oconnell | Psychologist | 144 Forest St, Wellesley Hills, MA 02481-6832 | 2020-03-20 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1043706419 | Jessica Shepley | Psychologist | 72 Fox Hill Rd, Bernardston, MA 01337-9586 | 2018-07-09 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1528552619 | Heather Duckworth Smith | Psychologist | 5 Seal Cove Ln, Hingham, MA 02043-1050 | 2018-06-21 |
| 1467946251 | Olivia Moorehead-slaughter | Psychologist | 171 Goddard Ave, Brookline, MA 02445-7412 | 2018-06-15 |
| 1710479522 | David Arnold | Psychologist | 35 Hop Brook Rd, Amherst, MA 01002-2771 | 2018-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.